| NPI | 1982994869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN REID Controller 510-428-3467 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA 140000015) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2018-03-30 |